Victory Memorial Hospital

LBN: Victory Memorial Hospital
Victory Memorial Hospital is an health care organization with primary practice located at 699 92Nd St , Brooklyn NY 11228-3619. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Victory Memorial Hospital can be contacted via phone (718) 567-1203, or through Williams, Richard via phone (718) 567-1203.

Contact Information

Primary practice address
699 92Nd St Brooklyn NY 11228-3619
Fax: (718) 567-1438
Website:
Authorized official contact:
Name: Williams, Richard MS PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 009868 New York

Profile Details

NPI number 1295741841
LBN Legal business name Victory Memorial Hospital
DBA Doing business as Victory Memorial Hospital
Authorized official Williams, Richard MS PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295741841 NPPES
Other 3349695 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 01196318 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00243449 NCPDP PROVIDER IDENTIFICATION NUMBER

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